Nurses’ Experience of Pain Management in Patients Referred to the Emergency Department

BACKGROUND AND OBJECTIVE: Considering that the experience of nurses in pain management in patients in the emergency department is a reflection of their feelings, thoughts and attitudes in this regard, identification of their experiences can be the basis for dealing with the challenges. The present study was conducted to explain the experiences of nurses regarding pain management in patients referred to the emergency department. METHODS: In this qualitative study, 14 nurses working in emergency departments of hospitals affiliated to the Tehran University of Medical Sciences participated through purposive sampling. The data were collected through individual, in-depth and semi-structured interviews and were simultaneously analyzed by conventional content analysis after transcribing the interviews. FINDINGS: Based on the data analysis, two themes of "challenges and barriers to pain management" and "right to patient-centered pain relief" were extracted. The results indicate the existence of challenges such as limited authority, inefficient supervision, and etc. in organizational‐professional areas such as fear about side effects, negligence, and etc. in the domain of human factors. Pain relief was also found as a fundamental right that requires patient-centered care. CONCLUSION: Based on the results of this study, despite the numerous challenges in pain management in the emergency department, patient relief is one of the care priorities and fundamental human rights. Therefore, emphasis on the fundamental values of nursing profession and paying attention to patients' individual needs and rights can be effective in managing the pain properly

Investigating the relationship between self-compassion and occupational stress of nurses working in hospitals affiliated to Tehran university of medical sciences in 2017

Introduction: The effect of occupational stress on quality of life and job performance of nurses necessitates the management of stresses in the workplace. Self-compassion is one of the main constructs in this regard, which in turn has attracted much attention as feature of resilience to stress, burnout, and emotional exhaustion in recent years. Objective: The aim of this study was to determine the relationship between self-compassion and occupational stress among nurses working in hospitals affiliated to Tehran University of Medical Sciences in 2017. Method: The present descriptive-correlational cross-sectional study was conducted on 430 nursing staff working in hospitals affiliated to Tehran University of Medical Sciences. The subjects were selected using stratified sampling, with appropriate allocation to the number of nurses employed in each hospital. The data collection tool was long 26- item form of the Self-Compassion Scale (SCS-LF) and a standard occupational stress questionnaire (Gray-Toft and Anderson, 1981). Data analysis was performed using descriptive and inferential statistics in SPSS ver. 16. Findings: The majority of nurses (60.5) had a moderate degree of self-compassion and high occupational stress (69.3). The results of Pearson correlation test showed that there is a statistically inverse significant relationship between occupational stress and self-compassion (P<0.001), as well as all of their dimensions, with the exception of dimensions of "common humanity" and "conflict with physicians" (P<0.001). In other words, increased self-compassion level leads to a decrease in nurses' occupational stress and its dimensions. Conclusion: The results of this study revealed a reverse relationship between self-compassion and occupational stress of nurses; therefore, policymakers and nursing authorities can take strides in moderating nurses' level of occupational stress and improving their professional performance by improving their self-compassion skill. © 2018, OMICS Group

Investigating the relationship between self-compassion and occupational stress of nurses working in hospitals affiliated to Tehran university of medical sciences in 2017

Introduction: The effect of occupational stress on quality of life and job performance of nurses necessitates the management of stresses in the workplace. Self-compassion is one of the main constructs in this regard, which in turn has attracted much attention as feature of resilience to stress, burnout, and emotional exhaustion in recent years. Objective: The aim of this study was to determine the relationship between self-compassion and occupational stress among nurses working in hospitals affiliated to Tehran University of Medical Sciences in 2017. Method: The present descriptive-correlational cross-sectional study was conducted on 430 nursing staff working in hospitals affiliated to Tehran University of Medical Sciences. The subjects were selected using stratified sampling, with appropriate allocation to the number of nurses employed in each hospital. The data collection tool was long 26- item form of the Self-Compassion Scale (SCS-LF) and a standard occupational stress questionnaire (Gray-Toft and Anderson, 1981). Data analysis was performed using descriptive and inferential statistics in SPSS ver. 16. Findings: The majority of nurses (60.5) had a moderate degree of self-compassion and high occupational stress (69.3). The results of Pearson correlation test showed that there is a statistically inverse significant relationship between occupational stress and self-compassion (P<0.001), as well as all of their dimensions, with the exception of dimensions of "common humanity" and "conflict with physicians" (P<0.001). In other words, increased self-compassion level leads to a decrease in nurses' occupational stress and its dimensions. Conclusion: The results of this study revealed a reverse relationship between self-compassion and occupational stress of nurses; therefore, policymakers and nursing authorities can take strides in moderating nurses' level of occupational stress and improving their professional performance by improving their self-compassion skill. © 2018, OMICS Group

Comparative Study of Quality of Life in Multiple Myeloma Patients after Bone Marrow Transplantation in Outpatient and Inpatient Setting

Introduction: Bone marrow transplantation is one of the treatment modalities in many hematologic disorders. In recent years, bone marrow transplantation is increasingly being delivered in the outpatient setting. Some studies suggest that outpatient transplantation has many advantages. The aim of this study was to compare the quality of life in outpatient and inpatient multiple myeloma patients after bone marrow transplantation. Methods: This research was a descriptive, comparative study. The quality of life of 35 multiple myeloma patients who had undergone bone marrow transplantation (20 outpatient and 15 inpatient) was assessed. An EORTC QLQ_C30 questionnaire was used for data collection. The questionnaire was completed on three occasions (before transplantation, 45 day after BMT and 90 day after BMT). Descriptive (mean, SD) and inferential statistics (Paired T Test, ANOVA Repeated Measures) were used for data analysis. Results: Comparison of quality of life between inpatient and outpatient settings indicated that quality of life of outpatient group was significantly better than inpatient group in certain aspects including all functional scales, all symptom scales, physical functioning, nausea and vomiting, fatigue, role functioning and appetite loss, and after a period of 90 days after transplantation, there was a significant increase in quality of life of the members of the inpatient group with regards to social functioning (p=0.001), dyspnoea( p=0.05), insomnia(p<0.001) and diarrhea (p=0.07). Conclusion: Although both transplantation methods have their own advantages, but considering the point that outpatient setting results in betterment of quality of life in certain aspects, it is advisable that patients should undergo bone marrow transplantation in an outpatient setting